Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Seacoast Spine & Sport Medical Institute

Organization Interventional Pain Medicine Physician · NPI 1467031096

Seacoast Spine & Sport Medical Institute is an Interventional Pain Medicine Physician in Eatontown, New Jersey. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

40 Corbett Way
Eatontown, NJ 07724-2263
Phone: (732) 955-0655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1467031096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khanh Nguyen — President · (732) 955-0655
NPI enumeratedApril 2, 2021
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021
Mailing address40 Corbett Way, Eatontown, NJ 07724-2263

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